| Integrative Psychotherapy | |
|
3520 Mayland Ct B Richmond VA 23233-1421 | |
| (804) 754-5814 | |
| Not Available |
| Full Name | Integrative Psychotherapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 3520 Mayland Ct, Richmond, Virginia |
| Authorized Official Name and Position | Ruth Davison Baldwin (SOLE PROPRIETOR) |
| Authorized Official Contact | 8047545814 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Psychotherapy 3520 Mayland Ct B Richmond VA 23233-1421 Ph: (804) 754-5814 | Integrative Psychotherapy 3520 Mayland Ct B Richmond VA 23233-1421 Ph: (804) 754-5814 |
| NPI Number | 1831410109 |
|---|---|
| Provider Enumeration Date | 06/21/2010 |
| Last Update Date | 12/17/2010 |
| Medicare PECOS PAC ID | 9931384294 |
|---|---|
| Medicare Enrollment ID | O20110502000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831410109 | NPI | - | NPPES |
| 1710217526 | Other | VA | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0904007270 (Virginia) | Primary |
| Provider Name | Ruth Davison Baldwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710217526 PECOS PAC ID: 0840475109 Enrollment ID: I20110502000152 |
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